RNFA Quiz 1B With Complete Solutions 2024

Marvin Deloitte, a 19 year-old male, received in intravenous peripheral nerve block (PNB/Bier block) for an ORIF of about ankle fracture. The anesthesia provider injected a a distal dorsal vein of Marvin's right foot with 2% lidocaine, after placing a single cuffed pneumatic tourniquet circumferentially around Marvins upper thigh. The surgeon looked through the OR window to check on anesthesia progress as he scrubbed at the sink outside of the OR. The circulating nurse had the leg elevated and was prepping the ankle. The surgeon noticed that the cuff seemed to be deflating and that the anesthesia provider was turned away from the patient. The circulating nurse also noticed the movement under the protective towel placed over the cuff, and saw the tourniquet tubing fall to the floor. The nurses first response should be: - Correct answer-Alert the anesthesia provider, reconnect thw tubing to cuff and inflate, and send the surgeon for the code cart The perioperative nurse visited Mr. Jennings in the ICU the next day and noticed abrasions on the elbow. Mr. Jennings told her that the ICU nurses had difficulty pulling him back up in bed every time he slid down toward the bottom and he was not able to be much help in moving himself. The skin injury was probably the result of which physical force - Correct answer-A friction from the elbows rubbing over the sheets when slid up in the bed. Malignant hyperthermia (MH) is a rare, multifaceted syndrome with an increased incidence in individuals with central core diseases such as: - Correct answer-Congenital myopathies David Reese, a 14 year-old patient with marked scoliosis, is in prone position with gel rolls, gel pads, and pillows for a spinal fusion Before the skin is begun, the perioperative nurse should check the positioning for pressure areas of the: - Correct answer-Genitals, knees, toes, and eyes answer-Cutaneous The installation of a local anesthetic into the subarachnoid space is termed: - Correct answer-Spinal anesthesia Susie Reynolds, a 9 year old softball player, has arrived in the OR for emergency repair of superficial facial and deep arm lacerations when she ran into the chain link fence during practice. The perioperative nurse discovers that Susie has an insulin pump that should remain connected during the short procedure. The RNFA should consider which of the following options for energy generated hemostasis? - Correct answer-Bipolar electrosurgery unit